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Questions and Answers
Which statement best describes the relationship between efficacy and potency based on the dynamics of drug actions?
Which statement best describes the relationship between efficacy and potency based on the dynamics of drug actions?
- Efficacy defines how effectively a drug occupies a receptor.
- Potency refers to the maximum effect a drug can produce.
- Efficacy indicates the drug's ability to elicit a response at a lower concentration.
- Potency measures the amount of drug needed to produce a specific effect. (correct)
What is the consequence of adding a drug that causes a right shift in the dose-response curve for an agonist?
What is the consequence of adding a drug that causes a right shift in the dose-response curve for an agonist?
- The potency of the agonist decreases. (correct)
- The efficacy of the agonist increases.
- The effectiveness of the agonist remains unchanged.
- The potency of the agonist increases.
Which of the following drugs would possess the same efficacy as a full agonist according to the dynamics of drug actions?
Which of the following drugs would possess the same efficacy as a full agonist according to the dynamics of drug actions?
- A drug that causes a nonparallel shift to the right.
- A drug with lower potency than the full agonist.
- Drugs that are distinguished as full agonists. (correct)
- A drug with higher efficacy than the full agonist.
In the context of drug antagonism, which type of antagonist cannot be overcome by increasing the concentration of the agonist?
In the context of drug antagonism, which type of antagonist cannot be overcome by increasing the concentration of the agonist?
How does the addition of a drug that causes a leftward shift in the dose-response curve for an agonist influence the curve?
How does the addition of a drug that causes a leftward shift in the dose-response curve for an agonist influence the curve?
Which drug comparison method provides a quantitative analysis of different drugs acting on the same receptors?
Which drug comparison method provides a quantitative analysis of different drugs acting on the same receptors?
In pharmacological terms, what defines a partial agonist in contrast to a full agonist?
In pharmacological terms, what defines a partial agonist in contrast to a full agonist?
Which drug is classified as an Angiotensin Converting Enzyme Inhibitor used to lower blood pressure?
Which drug is classified as an Angiotensin Converting Enzyme Inhibitor used to lower blood pressure?
What mechanism do Angiotensin-1 Receptor Blockers like Valsartan use in treating hypertension?
What mechanism do Angiotensin-1 Receptor Blockers like Valsartan use in treating hypertension?
Which of the following drugs is used as a Cholinesterase Reactivator during organophosphorus poisoning?
Which of the following drugs is used as a Cholinesterase Reactivator during organophosphorus poisoning?
What is a mechanism used to increase mediators in a body experiencing deficiency?
What is a mechanism used to increase mediators in a body experiencing deficiency?
Which drug is an example of a Nitric Oxide donor that assists in treating angina pectoris?
Which drug is an example of a Nitric Oxide donor that assists in treating angina pectoris?
What does the Median-Effective-Dose (ED50) represent?
What does the Median-Effective-Dose (ED50) represent?
Which drug is characterized by a low Therapeutic Index (TI)?
Which drug is characterized by a low Therapeutic Index (TI)?
What is the significance of Therapeutic Drug Monitoring?
What is the significance of Therapeutic Drug Monitoring?
Which drug is considered to have the highest efficacy according to the comparison of drugs A, B, C, and D?
Which drug is considered to have the highest efficacy according to the comparison of drugs A, B, C, and D?
What term describes the phenomenon where the response to a drug is lost after repeated administration?
What term describes the phenomenon where the response to a drug is lost after repeated administration?
Drugs A, B, C, and D cannot be compared in potency because they act on:
Drugs A, B, C, and D cannot be compared in potency because they act on:
What term describes the situation where one drug increases the action of another drug acting on a different receptor?
What term describes the situation where one drug increases the action of another drug acting on a different receptor?
Which of the following correctly defines Tachyphylaxis?
Which of the following correctly defines Tachyphylaxis?
In the context of dose-response curves, which curve provides information about drug concentration in a tissue?
In the context of dose-response curves, which curve provides information about drug concentration in a tissue?
What does the Therapeutic Index (TI) quantify?
What does the Therapeutic Index (TI) quantify?
What characterizes a drug with a wide therapeutic window?
What characterizes a drug with a wide therapeutic window?
What does potentiation refer to in pharmacology?
What does potentiation refer to in pharmacology?
How does the quantal dose-response curve differ from the graded dose-response curve?
How does the quantal dose-response curve differ from the graded dose-response curve?
What does Refactoriness signify in drug response?
What does Refactoriness signify in drug response?
Which of the following is NOT an aspect of comparing drugs A, B, C, and D?
Which of the following is NOT an aspect of comparing drugs A, B, C, and D?
What is the primary purpose of a quantal dose-response curve?
What is the primary purpose of a quantal dose-response curve?
What do the dose-response curves of agonists and antagonists primarily illustrate?
What do the dose-response curves of agonists and antagonists primarily illustrate?
If the new dose-response curve induced by two drugs is more effective than the first drug alone, which term describes this scenario?
If the new dose-response curve induced by two drugs is more effective than the first drug alone, which term describes this scenario?
What is termed as ‘hyper-susceptibility’ in relation to drug response?
What is termed as ‘hyper-susceptibility’ in relation to drug response?
Which condition reflects an abnormal drug response due to a genetic defect?
Which condition reflects an abnormal drug response due to a genetic defect?
Which type of response is characterized by skin reactions to Penicillin?
Which type of response is characterized by skin reactions to Penicillin?
What describes the withdrawal symptoms following cessation of drug use?
What describes the withdrawal symptoms following cessation of drug use?
What type of communication occurs when signals pass locally from a signaling cell to a target cell?
What type of communication occurs when signals pass locally from a signaling cell to a target cell?
What results from repeated drug administration leading to an adaptive state?
What results from repeated drug administration leading to an adaptive state?
In which scenario do neurotransmitters primarily act?
In which scenario do neurotransmitters primarily act?
What distinguishes hormones from neurotransmitters?
What distinguishes hormones from neurotransmitters?
Which of the following is NOT considered a mediator in non-endocrine signaling?
Which of the following is NOT considered a mediator in non-endocrine signaling?
What condition involves upregulation or downregulation of mediators in disease states?
What condition involves upregulation or downregulation of mediators in disease states?
What does a low Therapeutic Index (TI) indicate regarding a drug's safety?
What does a low Therapeutic Index (TI) indicate regarding a drug's safety?
Which statement best describes the phenomenon of tolerance in drug administration?
Which statement best describes the phenomenon of tolerance in drug administration?
What characterizes the concept of resistance in pharmacology?
What characterizes the concept of resistance in pharmacology?
Which of the following terms best describes the immediate loss of efficacy when doses of a drug are administered in close succession?
Which of the following terms best describes the immediate loss of efficacy when doses of a drug are administered in close succession?
In which situation is Therapeutic Drug Monitoring (TDM) indicated?
In which situation is Therapeutic Drug Monitoring (TDM) indicated?
What term describes an abnormal drug response that occurs due to a genetic defect?
What term describes an abnormal drug response that occurs due to a genetic defect?
What physiological condition emerges from an adaptive state to repeated drug use resulting in withdrawal symptoms upon cessation?
What physiological condition emerges from an adaptive state to repeated drug use resulting in withdrawal symptoms upon cessation?
Which term best describes the immune response that leads to adverse reactions such as skin rashes from a medication?
Which term best describes the immune response that leads to adverse reactions such as skin rashes from a medication?
What is primarily responsible for conveying signals to distant targets through the bloodstream?
What is primarily responsible for conveying signals to distant targets through the bloodstream?
Which of the following accurately describes the phenomenon of increasing responsiveness to a drug leading to adverse reactions like syncope?
Which of the following accurately describes the phenomenon of increasing responsiveness to a drug leading to adverse reactions like syncope?
Which statement accurately reflects the comparison of drug efficacy among drugs A, B, C, and D?
Which statement accurately reflects the comparison of drug efficacy among drugs A, B, C, and D?
What is the primary distinction between 'synergism' and 'potentiation' in the context of drug interactions?
What is the primary distinction between 'synergism' and 'potentiation' in the context of drug interactions?
Which aspect is NOT captured by the graded dose-response curve?
Which aspect is NOT captured by the graded dose-response curve?
What effect does a drug causing a slope shift to the left in the dose-response curve represent?
What effect does a drug causing a slope shift to the left in the dose-response curve represent?
In pharmacology, what is meant by 'quantal dose-response curve'?
In pharmacology, what is meant by 'quantal dose-response curve'?
If two drugs acting on different receptors have a combined effect that is less effective than either drug alone, which term applies?
If two drugs acting on different receptors have a combined effect that is less effective than either drug alone, which term applies?
How would one characterize the effect of a Competitive Irreversible Antagonist on an agonist's dose-response curve?
How would one characterize the effect of a Competitive Irreversible Antagonist on an agonist's dose-response curve?
Which statement best describes Partial Agonists in relation to full agonists?
Which statement best describes Partial Agonists in relation to full agonists?
What would indicate that a drug is acting as a Competitive Reversible Antagonist?
What would indicate that a drug is acting as a Competitive Reversible Antagonist?
In comparing drug potency among a group, which finding demonstrates a higher potency?
In comparing drug potency among a group, which finding demonstrates a higher potency?
Flashcards
Efficacy vs. Potency
Efficacy vs. Potency
Efficacy measures the maximum effect a drug can produce, while potency describes the amount of drug needed to produce a specific effect.
Full Agonist
Full Agonist
A drug that produces the maximum possible effect at a receptor site.
Partial Agonist
Partial Agonist
A drug that produces a less-than-maximal effect at a receptor site, even at high concentrations.
Potentiation
Potentiation
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Antagonism
Antagonism
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Competitive Antagonist
Competitive Antagonist
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Dose-Response Curve
Dose-Response Curve
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What is efficacy?
What is efficacy?
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What is potency?
What is potency?
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How are efficacy and potency different?
How are efficacy and potency different?
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What is an agonist?
What is an agonist?
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What is an antagonist?
What is an antagonist?
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What is competitive antagonism?
What is competitive antagonism?
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What is non-competitive antagonism?
What is non-competitive antagonism?
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What is synergism?
What is synergism?
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What is potentiation?
What is potentiation?
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Quantal Response
Quantal Response
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Median Effective Dose (ED50)
Median Effective Dose (ED50)
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Median Toxic Dose (TD50)
Median Toxic Dose (TD50)
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Therapeutic Index (TI)
Therapeutic Index (TI)
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Narrow Therapeutic Window
Narrow Therapeutic Window
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Therapeutic Drug Monitoring (TDM)
Therapeutic Drug Monitoring (TDM)
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Tolerance
Tolerance
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Tachyphylaxis
Tachyphylaxis
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Refractoriness
Refractoriness
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Resistance
Resistance
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Drug Actions: Suppressing Mediators
Drug Actions: Suppressing Mediators
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Inhibiting Mediator Synthesis
Inhibiting Mediator Synthesis
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Blocking Mediator Receptors
Blocking Mediator Receptors
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Increasing Mediator Degradation
Increasing Mediator Degradation
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Drug Actions: Enhancing Mediators
Drug Actions: Enhancing Mediators
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Drug Tolerance
Drug Tolerance
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Drug Intolerance
Drug Intolerance
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Idiosyncrasy
Idiosyncrasy
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Hypersensitivity Reaction
Hypersensitivity Reaction
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Habituation
Habituation
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Physical Dependence
Physical Dependence
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Drug Addiction
Drug Addiction
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Mediator
Mediator
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Neurotransmitter
Neurotransmitter
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Hormone
Hormone
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Competitive Reversible Antagonist
Competitive Reversible Antagonist
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Efficacy
Efficacy
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Potency
Potency
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Non-competitive Antagonism
Non-competitive Antagonism
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Synergism
Synergism
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Quantal Dose-Response Curve
Quantal Dose-Response Curve
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What is drug tolerance?
What is drug tolerance?
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What is a hypersensitivity reaction?
What is a hypersensitivity reaction?
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What's the difference between habituation and physical dependence?
What's the difference between habituation and physical dependence?
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Study Notes
Dynamics of Drug Actions
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Efficacy vs. Potency: Efficacy is the maximum effect of a drug, while potency is the amount of drug needed to produce a specific effect. Potency is important for comparing drugs' relative strengths, but efficacy is crucial in selecting the best treatment option.
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Quantitative Comparison of Drug Response: Comparing drugs with the same receptors reveals differences in their efficacy and potency. Full agonists have similar maximal effects as the reference drug, while partial agonists have a lower maximum effect. Potency differences are also noted, which show the amount of drug needed to produce the effect.
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Potentiation: If adding a drug increases the effect of another drug, it's called potentiation.
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Antagonism: If adding a drug decreases the effect of another drug, it's called antagonism. Competitive antagonists reduce potency, but the effect can be reversed by increasing the concentration of the agonist if the antagonist reversibly binds to the receptors involved. Non-competitive antagonists reduce efficacy, so increasing agonist concentration will not reverse the effect.
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Different Receptors: Comparing drugs acting on different receptors reveals that their efficacy can vary even if the potency is similar.
Graded Dose-Response Curve Use
- Used to assess drug response by examining how the response changes in relation to drug concentration.
Quantitative Comparison of Drug Effects Acting on the Same Receptor
- Comparing agonists (B, C, E) to a full agonist (A) reveals that B, C, and E have the same maximal effect as A, but potentially different potencies. Drugs D and F are partial agonists; they have lower maximal effects, but potentially different potencies to A.
Quantitative Comparison of Drug Effects Acting on Different Receptors
- Comparing drugs on different receptors reveals that they may have different efficacies, despite similar potency in certain situations
Quantal Dose-Response Curve
- Used to predict drug safety by determining median effective dose (ED50) and median toxic dose (TD50). The therapeutic index (TI) is the ratio of TD50 to ED50, and a higher TI indicates a safer drug.
Factors Affecting Drug Response
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Tolerance: A reduced response to a drug after repeated administration; may require increasing the dosage maintain a similar effect.
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Tachyphylaxis: A rapid development of tolerance often following repeated doses occurring in quick succession.
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Resistance: A complete loss of drug effectiveness, often in situations with antibiotics.
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Hyper-susceptibility (Drug Intolerance): An increased response to a drug, often exaggerated or abnormal
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Idiosyncrasy: An abnormal or unexpected reaction to a drug, often genetically linked
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Hypersensitivity: An immune response to a drug, often causing allergic reactions like skin rashes, or anaphylaxis.
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Dependence: A need for a drug; when stopping use, often producing withdrawal symptoms
Drugs Affecting Mediators & Transmitters of Communication
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Modulation: Drugs affect mediator synthesis, receptor interaction or degradation to control disease states. Examples include drugs that modify neurotransmitters, hormones or other chemical messengers.
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Drugs Suppressing Mediators: Examples like ACE inhibitors, and Angiotensin-I receptor blockers decrease mediator activity by blocking synthesis, interaction, and degradation.
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Drugs Increasing Mediators: Examples include drugs that mimic mediator actions, stimulating synthesis or decreasing breakdown which can help with symptoms.
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